上海地区重型肝病住院患者营养状况的调查研究

Investigation on the Nutritional Status of Hospitalized Patients with Hepatitis Disease in Shanghai

目的目前对我国重型肝病住院患者的营养物质摄入的调查不多,本研究探讨重型肝病住院患者营养摄入与营养不良发生情况,进一步为临床干预提供参考信息和资料。方法选取笔者医院150例重型肝病患者,利用24h膳食回顾法和称重法,记录入院前4天和入院2周内饮食和必须的静脉输入液体,计算热量与蛋白质等的实际摄入量,与患者自身的标准摄入量相比较,并利用NRS2002判断营养风险。结果 138例重型肝病患者均存在能量和蛋白质摄入不足,65.33%的患者存在不同程度的营养不良,74%的患者有营养不良的风险。结论目前上海地区住院重型肝病患者存在较高比例的营养不良状态和营养风险,需要进行积极的营养干预,NRS2002可以做为营养的风险筛查的工具。

Objective To investigate the prevalence of malnutrition in patients with severe hepatopathy, and to analyze whether the total calories and nutrient intakes have met the needs of their own body or being malnutrition, which can be used to provide the information and data for further clinical intervention. Methods Totally 150 patients with severe hepatopathy were selected to calculate the actual in- takes of calories and protein of their foods and intravenous fluids from early four days to two weeks during the hospital. These data were compared with the standard acceptable daily intake （ADI） to determine the existence of malnutrition. Results Totally 138 patients had lack of energy and protein intakes, and 65.33% of patients had different degrees of malnutrition. Conclusion As the malnutrition and nutritional risk accounts for a large proportion in patients with hepatopathy in Shanghai, active nutritional intervention should be carried out at present. NRS2002 can evaluate the inpatients malnutrition and malnutrition risk.